NPI 1073956868

Innovative Health & Rehab Consultants

Organisation Early Intervention Provider Agency Winston Salem, NC

Practice location

Address: 1232 Highland Ave, Winston Salem, NC 27101-1625
Phone: (336) 624-6519
Mailing address: PO Box 881, Kernersville, NC 27285-0881

Authorised official

Name: Lorenda Jackson
Title: Occupational Therapy Consultative
Phone: (336) 624-6519

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in North Carolina →

Registry record

NPI: 1073956868
Entity type: Organization
NPI issued: 10 Apr 2013
Record last updated: 10 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.